Londonderry Community League Membership Request Form

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Please use this form to request a membership card from the Londonderry Community League.

Once the league has received your request, we will contact you to make arrangements for payment (if required). Please be patient. The membership director is a volunteer!

If your mailbox is accessible, the membership director will drop off your membership card without making contact.

Membership Type: *

Family Membership - includes up to two adults and all children under the age of 18 living in the same household.

Individual Membership - includes one person between the ages of 18 and 64.

Senior Membership - includes up to two adults both over the age of 65.

Associate Membership - available to those who reside outside the boundaries of Londonderry but can show proof of purchase of a league membership from their home community.

This is:

a New Membership

a Renewal

I'm not sure...

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First Name: *

Last Name: *

Phone Number: *

Email Address: *

Full Address including postal code: *

In the next section, list family members who will be included in your membership. Remember to include their age. Please Note: They must live within the residence to be included.

For example:

Jane Doe, age 42
Billy Blue, age 14

Additional Family Members Listed Here:

How many Skate Tags do you require? (Skate Tags permit free skating at local community league skating rinks - you will need 1 tag per person. Tags are only available to people living within the home). *

Are you interested in volunteering? *

Yes, I am interested!

No, not right now.

Maybe, I'd like to learn more about opportunities for volunteering.

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